Mcq Subject: Unknown

A 40-year-old man, a known case of diabetes and on medication for the past 10 years comes to OPD with a history of abdominal pain, weakness, lightheadedness, palpitations and shoness of breath. On examination, glossitis along with hyperpigmentation of skin of dorsum of hands and feet and abnormal pigmentation of hair was observed. The family of the patient told that they have observed frequent episodes of increased irritability from the past 1 year. Given below are the laboratory findings and the peripheral blood smear. Later bone marrow aspiration was also done. Hb: 9gm% MCV: 110fl MCH: 36Pg MCHC: 34gm/dl Reticulocyte count: 0.1 x 10^9/L LDH: 600 U/L Indirect bilirubin: 1 mg/dL S. iron: Normal S. Ferritin: Normal WBC: 2 x 10^9/L Platelet count: 90 x 10^9/L PERIPHERAL BLOOD SMEAR BONE MARROW ASPIRATION Which of the following drugs is most likely the person is taking: –

A. Metformin

B. Pioglitazone

C. Vildagliptin

D. Exenatide

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Posterior staphyloma, most common cause –

A. Trauma

B. Myopia

C. Iridocyclitis

D. Glaucoma

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Which of the following is/are tuberculides:

A. Lichen scrofulosorum

B. Lichen nitidus

C. Lichen aureus

D. Erythema nodosum

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Following shown condition is least common in:

A. Frank breech

B. Transverse lie

C. Footling presentation

D. Brow presentation

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Anti-CD 25 monoclonal antibody used in prophylaxis of acute organ rejection in adult patients is

A. Basilizimab

B. Muromonab

C. Efalizumab

D. Eculizumab

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The Centchroman weekly dose is?

A. 45 mg

B. 60 mg

C. 90 mg

D. 120 mg

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A 8-yrs-old child has a history since early childhood of malabsorption, ataxia, acanthocytes in the peripheral blood, and very low cholesterol and triglyceride levels. In addition, the patient has been developing progressive, bilateral, concentric contraction of the visual fields and loss of central vision. The underlying pathogenesis of this patient’s disease is:

A. A degenerative disease involving the cerebellum

B. A defect in the synthesis of apolipoprotein B

C. Degeneration of the posterior columns, spinocerebellar tracts, and corticospinal tracts

D. An absence of high-density lipoproteins

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Most common tumor in the lateral hemisphere of the brain-

A. Astrocytoma

B. Meningioma

C. Ependymoma

D. Medulloblastoma

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Carina is situated at which level –

A. T3

B. T4

C. T6

D. T9

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A 50-year-old female patient, known case of hepatitis C presented to the OPD with joint pains, myalgia, fatigue, recurrent skin infections and symptoms of peripheral neuropathy. O/E: – Acrocyanosis Livedo reticularis Purpura Lab studies, Deranged RFTs with proteinuria Leukocytosis ANA positivity Raised ESR Kidney biopsy was done. What is the diagnosis: –

A. MPGN

B. Essential mixed cryoglobulinemia

C. MGN

D. IgA nephropathy

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